Archives of Reconstructive Microsurgery
- Volume 14 Issue 2
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- Pages.105-111
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- 2005
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Clinical Experience of Thoracodorsal Perforator Based Free Flap
흉배혈관 천공분지에 기초한 유리피판술의 임상적 이용
- Nam, Yeoung-O (Department of Plastic and Reconstructive Surgery Hallym University Medical School) ;
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Koh, Sung-Hoon
(Department of Plastic and Reconstructive Surgery Hallym University Medical School) ;
- Eo, Su-Rak (Department of Plastic and Reconstructive Surgery Hallym University Medical School)
- Published : 2005.10.31
Abstract
Perforator flaps have become increasingly popular in microsurgery nowadays and are being used widely for many cases of reconstruction after trauma and cancer ablation. And thoracodorsal perforator based free flap is one of them having the merits of carrying a large skin paddle with leaving intact innervation and function of the remaining latissimus dorsi muscle. We made a homogeneous thin flap excluding the main muscle with a long vascular pedicle and tried to decrease the donor site morbidity. But, it needs a long learning-curve and we have met marginal flap necrosis frequently. Besides, prolonged operation time for complete perforator dissection may be a tedious job to the microsurgeon. To overcome these disadvantages, we usually included very small portion of the latissimus dorsi muscle during this flap elevation around the pedicled 2-3 thoracodorsal perforators during this flap elevation. We performed 3 cases of thoracodorsal perforator based free flap at Hallym university sacred heart hospital between May and August 2005 for the soft tissue defect of the scalp and feet. The average flap size was